The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

TAMPA GENERAL HOSPITAL 1 TAMPA GENERAL CIR TAMPA, FL 33606 Nov. 26, 2013
VIOLATION: PATIENT RIGHTS: RESTRAINT OR SECLUSION Tag No: A0168
Based on clinical record review, policy review and staff interview it was determined the facility failed to ensure an order was obtained for restraints on 1 (#4) of 10 sample patients.

Findings include:

Patient #4 was initially ordered restraints on 11/16/13 for pulling tubes and lines out. Further review of the patients clinical record revealed the patient was in restraints on 11/23/13, but there was no order by the physician to continue the restraints for 11/23/13.

An interview with a registered nurse on 11/25/13 during the chart review at 12:20 p.m. confirmed the findings. The nurse stated there should be an order every 24 hours.

A review of the facility's policy, Patient restraints/Seclusion, policy # TX-113, reviewed 2/13,page 5 of 7,revealed orders must be entered at a maximum of every 24 hours, after a face to face evaluation by the patients physician.